IMPACTO DA PANDEMIA DE COVID-19 SOBRE O TRATAMENTO NUTRICIONAL DE PACIENTES OBESOS GRAVES CANDIDATOS À CIRURGIA BARIÁTRICA

Impact of the COVID-19 pandemic on the nutritional treatment of serious obese patients candidate to bariatric surgery

Authors

  • Márcia Ferreira Cândido de SOUZA 1Programa de Pós-Graduação Mestrado Profissional em Gestão e Inovação Tecnológica em Saúde, Universidade Federal de Sergipe. São Cristóvão-SE-Brasi
  • Dayane Franciely Conceição SANTOS
  • Edilene Fernandes NONATO
  • Francismayne Batista SANTANA
  • Giselle dos Santos DIAS
  • Jéssyca Teles BARRETO
  • Laís Santos COSTA
  • Marcela Larissa COSTA
  • Maria Carolina Barros COSTA
  • Tamila das Neves FERREIRA
  • Raquel Simões Mendes NETTO

Abstract

Objective: to evaluate the impact of the COVID-19 pandemic on the nutritional treatment of severely obese patients who are candidates for bariatric surgery. Material and Methods: Cross-sectional study carried out in a nutrition outpatient clinic with patients candidates for bariatric surgery with data related to face-to-face consultations before the COVID-19 pandemic and to consultations by telephone during the pandemic. Socioeconomic, clinical, anthropometric data and a structured questionnaire were collected about presence of flu syndrome; medical diagnosis and safety in information about COVID-19 and changes in eating habits during this period. For descriptive statistical analysis, means, standard deviation and frequencies were used and the Chi-square test was used to compare categorical variables. Results: 47 patients participated in the study, with a mean age of 45.1 ± 9.9 years, the majority being female (91.5%). The most prevalent risk comorbidity for COVID-19 was systemic arterial hypertension, both alone and in association with other diseases, followed by type 2 diabetes mellitus. Most patients felt properly informed, however, insecure (p < 0.001) regarding the disease. Regarding food consumption, before social distancing 55.3% (p < 0.001) of patients reported following the guidelines for the consumption of adequate and healthy food prescribed by nutritionists and when questioned about this consumption during the pandemic, the majority ( p <0.038) reported that the isolation affected their food in some way, 61.7% (p < 0.001) were unable to maintain the routine of healthy eating habits and 21.3% (p < 0.001) described a high consumption of processed and / or ultraprocessed foods. Conclusion: Insecurity and inadequate food consumption, due to the pandemic, were prevalent in the majority of severely obese patients in the study, with an impact on adherence to the nutritional treatment prescribed as an important part for the control of comorbidities and for the preparation of bariatric surgery.

Keywords: SARS-Cov-2, Obesity, Food consumption, Ultraprocessed.

Keywords: SARS-Cov-2, Obesity, Food consumption, Ultraprocessed.

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Published

2020-08-12

Issue

Vol. 7 No. 2 (2020): COVID 19

Section

Artigo

License

Declaro que o presente artigo é original, não tendo sido submetido à publicação em qualquer outro periódico nacional ou internacional, quer seja em parte ou em sua totalidade. declaro, ainda, que uma vez publicado na revista RevIPI, editada pela Associação Sergipana de Ciência, o mesmo jamais será submetido por mim ou por qualquer um dos demais co-autores a qualquer outro periódico. Através deste instrumento, em meu nome e em nome dos demais co-autores, por ventura existentes, cedo os direitos autorais do referido artigo à Associação Sergipana de Ciência, que está autorizada a publicá-lo em meio impresso, digital, ou outro existente, nesta revista de acesso público, os artigos são de uso gratuito, com atribuições próprias, em aplicações educacionais e não-comerciais.